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Study identifier: NCT06740994 Synced from ClinicalTrials.gov · August 11, 2026
● Study status: Recruiting

Ultrasound Guided Midline vs Landmark Paramedian Continous Spinal Anesthesia in the Elderly

Condition: Spinal Anesthesia  ·  Sponsor: University Tunis El Manar

PhaseNA
Planned participants110
Who can joinAll sexes, 65 Years to no upper limit
Healthy volunteersNoCheck eligibility criteria ↓
WhereNabeul, Mrazga, Tunisia

Interested? Contact the study team ↓

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About this study

Former clinical studies have reported the superiority of the landmark guided paramedian approach above the classical landmark guided midline approach for the continuous spinal anesthesia especially in the elderly. On the other hand, more recent clinical trials have suggested that the use of ultrasound to guide spinal anesthesia will be safer and more effective than the conventional palpation-guided technique. The aim of this study will be to compare the conventional "blind" landmark paramedian approach to the ultrasound "modern" guided midline approach for the continuous spinal anesthesia in the elderly with hip fractures. Patients will randomly divided into two groups: Group(PML): will undergo conventional landmark guided paramedian continuous spinal anesthesia Group (MUS): will undergo ultrasound guided midline continuous spinal anesthesia

This description comes directly from the study's public registry record.

Talk to the study team

MECHAAL BEN ALI, Professor  ·  72100533  ·  mechaal_benali@yahoo.fr

SAMEH BEN AHMED, Doctor  ·  72100500  ·  sameh.benahmed@fmt.utm.tn

There is no obligation to join — the study team can answer your questions about taking part.

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Full eligibility criteria (exactly as the study team wrote them)

Inclusion Criteria: * all consented patients aged over 65 years old scheduled to undergo surgery for hip fracture under continuous spinal anesthesia with American Society of Anesthesiologists ASA physical status classification from I to III Exclusion Criteria: * contraindications to spinal anesthesia ( allergy to local anesthetic, coagulopathy, infection at the site of injection) * previous history of lumbar spine surgery * per operative severe complication with conversion to general anesthesia

Reproduced word-for-word from the public registry record — the study team can answer questions about it.

Locations (1)

BEN ALI MECHAAL, ProfessorNabeul, Mrazga, TunisiaRecruiting

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Nabeul

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